• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

中国药物评价 ›› 2020, Vol. 37 ›› Issue (1): 22-30.

所属专题: "新冠肺炎防治"专题

• “新冠肺炎防治”专题 • 上一篇    下一篇

儿童新型冠状病毒肺炎诊疗方案汇总分析

高亚1,张俊华2,田金徽3,施树珍1,刘鹏举4,杨丰文2,吕丙文4   

  1. 1. 兰州大学循证医学中心,兰州大学基础医学院
    2. 天津中医药大学循证医学中心
    3. 兰州大学循证医学中心,兰州大学基础医学院,兰州大学甘肃省循证医学与临床转化重点实验室
    4. 兰州大学第二临床医学院
  • 收稿日期:2020-02-24 修回日期:2020-02-05 出版日期:2020-02-28 发布日期:2020-03-30
  • 基金资助:
    天津中医药大学科技专项;甘肃省循证医学与临床转化重点实验室应急科研专项

Comprehensive Analysis of Diagnosis and Treatment Strategies for Pediatric Corona Virus Disease 2019

  • Received:2020-02-24 Revised:2020-02-05 Online:2020-02-28 Published:2020-03-30
  • Contact: Gao Yaya E-mail:gaoy2021@163.com
  • Supported by:
    新型冠状病毒感染应急防治;COVID-19防控

摘要: 目的:分析儿童新型冠状病毒肺炎(COVID-19)的诊断和治疗方案,为儿童COVID-19的诊疗提供参考。方法:检索主要中英文数据库、国家卫生健康委员会和中华医学会等网站,纳入提供了儿童COVID-19诊疗方案的研究。利用Excel 2016制定数据提取表,提取基本信息、诊断标准和治疗方案,并进行汇总分析。结果:COVID-19疑似病例和确诊病例的诊断方法较为明确,且各研究提供的方法较为一致。治疗方法包括一般治疗、抗病毒治疗、抗菌药物治疗、糖皮质激素治疗、免疫球蛋白治疗、呼吸支持、器官功能支持、血液净化和中医治疗等方面。一些药物的疗效不确定,仅为尝试使用。许多治疗方法的适应证、用法、用量尚不清楚。结论:目前的治疗方案存在一定的不足,未来应不断修改和完善儿童COVID-19的诊疗方案,制定更为严谨的循证指南。

关键词: 新型冠状病毒, 肺炎, 儿童, 诊断, 治疗

Abstract: Objective:To analyze the diagnosis and treatment strategies ofpediatric Corona Virus Disease 2019 (COVID-19), and to provide references for the diagnosis and treatment of pediatric COVID-19.Methods:The main Chinese and English databases, Chinese National Health Committee and the Chinese Medical Association were searched.Studies including diagnostic and treatment strategies for pediatric COVID-19 were included.Excel 2016 wasused to create data extraction tables to extract basic information, diagnostic criteria and treatment strategies, and conduct analyses.Results: The diagnosis methods for suspected and confirmed cases of pediatric COVID-19 were clear, and the methods provided by the studies were consistent.Treatment methods includedbasic treatment, antiviral treatment, antibacterial treatment, glucocorticoid treatment, immunoglobulin treatment, respiratory support, organic function support, blood purification and traditional Chinese medicine.The efficacy of some drugs was uncertain, and the indications, usage and dosage of many treatments were not clear.Conclusion: The current treatment strategies had certain shortcoming. The diagnosis and treatment strategies of pediatric COVID-19 should befurther modified and improved, and high-quality evidence-based guidelines need to be developed.

Key words: Corona Virus Disease 2019, Pneumonia, Children, Diagnosis, Treatment

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